Andre Tylee and Alan Cohen: Incorporating psychological therapies in the treatment of chronic conditions
Post on 05-Dec-2014
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Relieving distress, transforming lives
Incorporating psychological therapies in the
management of LTC – the role of IAPT
Dr Alan Cohen FRCGP
Director of Primary Care
West London MH Trust
A game of two halves
What we are going to cover…
• A review of what was achieved in the first three years– me
• A look at what will be achieved in the next three years– Andre
The first three years
• Special interest group for LTCs and MUS• Commitment and support of all primary
care organisations• Identified regional and local leads• Supported with a training/leadership
programme
The first three years• Training programmes at RCGP e-learning and
BMJ on-line• A study using electronic recording of Med3/5 in
the management of anxiety/depression including LTCs
• St Georges Study• Collaborative Care – commissioning package
Thank you
Alan.Cohen@wlmht.nhs.uk
IAPT: LTC Work Stream
Prof André Tylee MD FRCGP MRCPsych
Expert advisor, LTCs
Plan
• Multiple LTCs and multiple bio-psycho-social needs often co-exist
• Some initial IAPT plans• Call for good examples
CHD with distress or Depression.
Often a ‘personal and social story’ of loss
Interpersonalfactors and
Loss
Health andloss
Control
Emasculation’ Loss of sexualIntimacy and
self worth
LonelinessIsolation
Bereavement/grief
Relationship breakdown: partner
and children
AgingMulti-morbidity++
Fear of future
May dislike drug side effects
May prefer their own self help approaches (e.g yoga)
Erectiledysfunction
Loss of employmentand self worth
Lack of finances
May be a carer also: lost
freedom
Many think PCPs have a key role
Prefer talking RX and self help
Some like groups
Patients may have a wide range of psychosocial needs and preferences
• Approximately £1.7 million 2011/12 commitment to LTC/MUS
developmental work
• Scoping work underway including mapping
• Initial elements: compendium; collaborative care pathways; economic
calculator/analysis• Phase 1 – developmental, likely to involve testing and evaluating good
practice• Engaging key stakeholders including CCGs• Expert Reference Group to meet by Nov 2011
IAPT LTC – moving forward
Good practice examples needed
• Training for IAPT workers • Collaborative care projects• Case management• Personalised care • Psycho-education• Facilitated groups• Multi-morbidity• Etc
Thank youandre.tylee@kcl.ac.uk
Special thanks to;
Linda.Charles-Ozuzu@dh.gsi.gov.ukNew Projects Development Lead
IAPT, Department of Health
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